Individual
CLAUDINE MARIA HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15223 MACAULEY AVE, CLEVELAND, OH 44110-1313
(216) 383-8430
Mailing address
15223 MACAULEY AVE, CLEVELAND, OH 44110-1313
(216) 383-8430
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN104031
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2334576
—
OH
Enumeration date
03/19/2007
Last updated
07/09/2007
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